radiation safety officer training and experience and preceptor … · 2019-12-15 · radiation...

Radiation Safety Officer Training and Experience

and Preceptor Attestation

(10 CFR 35.50)

NRC Form 313A (RSO)

On

Mary Hennings-Frank, BS, CNMT

OMS Imaging

109 S. Petro Ave.

Sioux Falls, SO 57105

Operations office: Corporate office: 109 S. Petre Avenue 210 i N. University Drived""tMAGING®

Sioux Fails, SO 57107 Facgo, NO 58 I02 Phone: 605-330-9060 Phone: 701-237-9073 • A member of the dms health group

800-333-0365 800-437-4628 Fax: 877-595-81 08 Fax: 800-848-0990

www.dmshg.com

November 12, 2007

Nuclear Regulatory Commission

To whom it My Concern:

My name is Mary Hennings-Frank and I work for OMS Health Group out of Fargo, North Dakota. I would like to apply to become the Radiation Safety Officer for OMS Health Group. I have over 18 years experience in the field of Nuclear Medicine. My last position was the Program Director for the Nuclear Medicine program at Southeast Technical Institute in Sioux Falls, South Dakota. 1have taught Radiation Safety and Biology; Physics & Instrumentation; Invivo/lnvitro Studies; Radiopharmacy; EKG; and Nuclear Medicine Math and Stats.

I have also practice and taught Nuclear Medicine under the jurisdiction of Dr, Fred lovrien the Radiation Safety Officer for Sanford Medical Center in Sioux Falls, South Dakota.

Please find enclosed documentation which verifies my work experience and training education to become a Radiation Safety Officer.

Thank you for considering me qualified to be a Radiaiton Safety Officer.

Mary Hennings-Frank

• 471590

An torrERTAIL Company Ib

Table of Contents

Application 1

Resume' and Credentials 2

Radiation Safety Officer Training and Experience

3, a) Structured Educational Program for Proposed Radiation Safety Officer

Radiation Physics and Instrumentation Syllabus 3

Radiation Protection Syllabus .4

Mathematics Syllabus 5

Radiation Biology Syllabus 6

Radiation Dosimetry Power Points 7

£171590Ib

Operations office: Corporate office: 109 S. Petm Avenue 2 101 N. UniverSity O,';ve dmlrMAGING®

S'oux Falls. SO 57107 Fargo, NO 58102 Phone: 605-330·9060 Phone: 701-237-9073 tit A member of the dms health group

800-333-0365 800-4374628 fax: 877·595-8108 Fax: 800-848-0990

www.dmshg.com

November 13,2007

Nuclear Regulatory Commission Region IV

611 Ryan Plaza Drive, Suite 400 Arlington, Texas 76011-8064

To Whom It May Concern:

Please amend license condition 11 of NRC license number 40-32477-01. We wish to remove

Michelle White as Radiaiton Safety Officer and name Mary Hennings-Frank as the replacement. Attached is the delegation of authority form and NRC form 313A Radiation Safety Training and Experience and Preceptor Attestation form for Mary Hennings-Frank.

If you have any questions or need additional information please contact me at (605) 357-2609.

Sincerely,

Douglas Holmberg Regional Vice President

DMS Imaging, Inc.

It 471 5 e 0 An tOTTERTAIL Company

d. 2101 N. University Drive

• Fargo. ND 58102

Phone: 701-237-9073 ALTH®

G R 0 U P 800-437-4628

Fax: 800·848-0990

www.dmshg.com

Radiation Safety Officer Delegation of Authority

Mary Hennings-Frank has been appointed Corporate Radiation Safety Officer and as such accepts the responsibility for ensuring the safe use of radioactive material. The Corporate Radiation Safety Officer is also responsible for managing the radiation safety program and ensuring compliance with regulations. Mary Hennings-Frank is hereby delegated the authority necessary to meet these responsibilities.

I also grant Ms. Hennings-Frank the authorization to be the main contact person for all radioactive material licensing and regulatory issues. She has the authority to make commitme , amendments, etc. on behalf of the OMS Health Group.

Date

rJm'o7 fation Safety Officer

KJ. 471 590 An torrERTAIL Company

--

NRC FORM 313A (RSO) U.S. NUCLEAR REGULATORY COMMISSION (2-2007)

APPROVED SY OMS: NO. 3150-<l1: RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE EXPIRES: 10/31'2008

AND PRECEPTOR ATTESTATION [10 CFR 35.50]

Name of Proposed Radiation Safety Officer

Requested Authorization(s) The license authorizes the fol/owing medical uses (check aI/ that apply):

035.100 [{] 35.200 035.300 035.400 035.500 o 35.600 (remote afterloader)

o 35.600 (teletherapy) 035.600 (gamma stereotactic radiosurgery) 0~ (Sealed Source Cs137.) G:J .J I. 1/ " .-.,..5,IPART I •• TRAINING AND EXPERIENCE

(Select one of the four methods below) *Training and Experience, including board certification, must have been obtained within the 7 years preceding the date of application or the individual must have obtained related continuing education and experience since the required training and experience was completed. Provide dates, duration, and description of continuing education and experience related to the uses checked above.

lJ 1. Board Certification

a. Provide a copy of the board certification.

b. Use Table 3.c. to describe training in radiation safety, regulatory issues, and emergency procedures for all types of medical use on the license.

c. Skip to and complete Part II Preceptor Attestation.

OR o 2. Current Radiation Safety Officer Seeking Authorization to Be Recognized as a Radiation Safety Officer for the Additional Medical Uses Checked Above

a. Use the table in section 3.c. to describe training in radiation safety, regulatory issues, and emergency procedures for the additional types of medical use for which recognition as RSO is sought.

b. Skip to and complete Part II Preceptor Attestation.

OR03. Structured Educational Program for Proposed Radiation Safety Officer

a. Classroom and Laboratory Training

Dates of ~ Description ofTca'nlng~T---- Location of Training Training*Hours-br~,Radiation physics and 1992-1994 instrumentation

Southeast Technical Institute 108 Hours 270 Hours 2002·2007

,Sioux Falls, SO 57105 (Section 3)

,Radiation protection l108Hours

2320 N. Career Ave.

1992-1994 270 Hours

108 Hours 2002·2007

(Section 4) 270 Hours (Section 4)

Mathematics pertaining to the 108 HoursSoutheast Technical Institute 1992-1994 use and measurement of 270 Hours 2002·2007 radioactivity ~iOUX Falls, SO 57105 (Section 5)

IRadiation biology

~20 N. Career Ave.

1992·1994 2320 N. Career Ave. 'Southeast Technical Institute 108 Hours

2002-2007 Sioux Falls. SO 57105 (Section 6)

270 Hours

~Radiation doshnetiy 1992·1994 2320 N. Career Ave. 1270 Hours

~o"theas, T.,hnleal'"'''"'. l'08 Ho,,", 2002·2007

Sioux Falls, SO 57105 (Section 7)

I I Total Hours of Training: 1,890 Hours

NRC FORM 313A (RSO) (2-2007) PRINTED ON RECYCLED PAPER PAGE 1

47'1580

NRC FORM 313A (RSO) U.S. NUCLEAR REGULATORY COMMISSIC (2-2007)

RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION (continued)

3. Structured Educational Program for Proposed Radiation Safety Officer (continued)

b. Supervised Radiation Safety Experience (If more than one supervising individual is necessary to document supervised work experience, provide multiple copies of this section.)

,-_. . . . --r, Location of Trainingl Dates ofb. Desc.n~tlon of Expenence , License or Permit Number of Facility Training'

,Shlpp!ng, receiving, and performing relatee1sanford USD Medical Center 2002-2007Iradiation surveys 1305 W. 18th StreetI Sioux Falls, SD 57105

I INRC License #40-12378-01 {RSO}

,Using ~nd p~rforming checks for proper-.-/sanford USD Medical Center 2002-2007Ioperab.o~ of Instruments used to determine /1305 W. 18th Street ,~he activity of dosages, survey m~ters, ~nd Sioux Falls SD 57105IInstruments used to measure radlonuclides ' '

b +-N_R_C_Li_ce_n_s_e_#4_0_-_12_3_7_8_-0_1_{_R_S.O__}-------+-------1 Securing and controlling byproduct material Sanford USD Medical Center 2002-2007

1305 W. 18th StreetII /Sioux Falls, SD 57105

I INRC U","", fI4O-12_3_7_8-_0_1_{R_S_O_} -l --i

rusrng administrative controls to avoid Sanford USD Medical Center 2002-2007 mistakes in administration of byproduct /1305 W. 18th Street Imaterial Sioux Falls, SD 57105

I /NRC License #40-12378-01 (RSO)

Iu . d t' . . C 2002-2007 radioactive contamination and using proper 1305 W. 18th StreetI/decontamination procedures Sioux Falls, SD 57105

sing proce ures to preven or minimiZe Sanford USD Medical enter

IJ"RCU","" #40-12378.(J' (RSO)

IUsing emergency procedures to control 'Sanford-U-S-O--M-e-d-ic·-al-C-e--n-te-r------------+-2-0-0-2.-2-0-07---1 byproduct material 1305 W. 18th StreetI Sioux Falls, SD 57105

I NRC License #40-12378-01 (R._S_O_) -+ ---I

~ing of byproduct material· ISanford USO Medical Center 2002·2007 1305 W. 18th StreetI /SiOUX Falls, SD 57105

I INRC U""" #40-12378.(Jl (RSO)

Licensed Material Used (e.g., 35.100, ISanford USO Medical Center 2002-2007 35.200, etc.)+ 35.100 J305 W. 18th StreetI 35.200 Sioux Falls, SO 57105

31.11

~ Choose all applicable sections of 10 CFR Part 35 to describe radioisotopes and quantities used: 35.100,35.200,35.300,35.400,35.500,' 35.600 remote afterloader units, 35.600 teletherapy units, 35.600 gamma stereotactic radiosurgery units, emerging technologies (provide list of devices). L

PAGE 2

NRC FORM 313A (RSO) U.S. NUCLEAR REGULATORY COMMISSI( (2-2007)

RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION (continued)

3. Structured Educational Program for Proposed Radiation Safety Officer (continued)

b. Supervised Radiation Safety Experience (continued)

(If more than one supervising individual is necessary to document supervised work experience, provide multiple copies of this section.)

fpervising Individual :License/Permit Number listing supervising individual as a :Radiation Safety Officer NRC License #40-12378-01IDr..Fred.LO~~ien ...

This license authorizes the following medical uses:

035.100 035.200 0 35.300 035.400

035.500 o 35.600 (remote afterloader) D 35.600 (teletherapy)

~.600 (gamma stereotactic radiosurgery) B 3~ II ~ (Cs-/ 3 7 I<JII\I'CA I ) ~I.II Pr'C-Otl(,.Js~ ".-Is . o;..-:ef- J, "'" 1'1 .SDtJfl'''e.

I I

c. Describe training in radiation safety, regulatory issues, and emergency procedlJ'es for all types of medical use on the license.

I

L Dates of

Training Provided By Description of Training Training*

1994-2001 emergency procedures for 35.100,35.200, IRadiation safety, regUlatory issues, and ITraining under supervisin of Dr. Fred Lovrien

2002-2007

Iand 35.500 uses --l IRadiation safety, regulatory issues, and N/A emergency procedures for 35.300 uses i

N1A

IRadla'"" safety, ,egulatory Issues, and lA emergency procedures for 35.400 uses

. __.

fRad;a,on safety, regulatory 'ssues, and-lNiAIemergency procedures for 35.600 teletherapy uses

IRadiation safety, regulatory issues, and --iN/AIemergency procedures for 35.600 - remote I afterloader uses

~adiati~n safety, regulatorY issues, and 1N/A ~--Iemergency procedures for 35.600 - gamma I stereotactic radiosurgery uses

IRadla'on safety, ,egulalory Issues, and rIemergency procedures for 35.1000, specify use(s):

L__. .___~____. PAGE 3

NRC FORM 313A (RSO) U.S. NUCLEAR REGULATORY COMMISSIO (2-2007)

et-RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION (continued)

-.--tr-u-c-tu-r-e-d-E-d-u-c-a-t-io-n-a-l-p-rO-g-r-a-m-fo-r-p-ro-p-o-s-e-d-R-a-d-i-a-ti-o-n-s-a-f-et-y-o-ffj-Ic-e-r-(-c-o-n-ti-n-u-e-d-)----..;..---......3 S

c. Training in radiation safety, regulatory issues, and emergency procedures br all types of medical use on the license (continued)

supervising Individual If training was provided by supervising License/Permit Number listing supervising individual RSO, AU, AMP, or ANP. (If more than one supervising individual is necessary to document supervised training, provide multiple copies of ~ this page.)

NRC License #40-12378-01 (RSO)Dr. Fred Lovrien

license/Permit lists supervising individual as:

[2] Radiation Safety Officer 0 Authorized User 0 Authorized Nuclear Pharmacist

o Authorized Medical Physicist

Authorized as RSO, AU, ANP, or AMP for the following medical uses:

[2] 35.100 035.200 035.300 035.400

· D 35.500 0 35_600 (remote aflerloader) 0 35.600 (teletherapy)

D 35.600 (gamma stereot~tic radiOk~?__ery) J,. L ~ 31:1 Uill (Cs'/3'15etJeJ50u~I l fi1__-"3.../~,'_'__' --,-M-,-re""lptte""'-'-'~ut1!J-'"-"-"l~e=d'-ln.-loLI'~ d. Skip to and complete Part II Preceptor Attestation.

OR

Authorized User, Authorized Medical Physicist. or Authorized Nuclear Pharmacist identified on the licensee's license

a. Provide license number.

b. Use the table in section 3.c. to describe training in radiation safety, regulalory issues, and emergency procedures for all types of medical use on the license.

c. Skip to and complete Part II Preceptor Attestation.

PART 11- PRECEPTOR ATTESTATION

Note: This part must be completed by the individual's preceptor. The preceptor does not have to be the supervising individual as long as the preceptor prOVides, directs, or verifies training and experience required. If more than one preceptor is necessary to document experience, obtain a separate preceptor statement from each.

First Section Check one of the following:

o 1. Board Certification

D I attest that has satisfactorily completed the requirements in


10 CFR 35.50(a)(1 lei) and (a)(1 )(ii); or 35.50 (a)(2)(i) and (a)(2)(ii); or 3550(c)(1).

OR

o 2. Structured Educational Program for Proposed Radiation Safety Officers

[2] I attest that Mary Hennings-Frank has satisfactorily completed a structural educational


program consisting of both 200 hours of classroom and laboratory training and roe year of full-time radiation safety experience as required by 10 CFR 35.50(b)(1).

OR PAGE 4


RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE AND PRECEPTOR ArrESTATION (continued)e Preceptor Attestation (continued)

First Section (continued) Check one of the following:

o 3. Additional Authorization as Radiation Safety Officer

o I attest that is an

Name of Proposed Radiation Safely Officer

o Authorized User o Authorized Nuclear Pharmacist

o Authorized Medical Physicist

identified on the Licensees license and has experience with the radiation safety aspects of similar type of use of byproduct material for which the individual has Radiation Safety Officer responsibilities

~-- _-_ __ - --- ••........ _.. - --. . AND

Second Section Complete for all (check all that apply):

[{] I attest that Mary Hennings-Frank has training in the radiation safety, regulatory issues, and

Name of ProposedRadiation Safely Officer

emergency procedures for the following types of use:

[{]35.100

[{] 35.200

035.300 oral administration of less than or equal to 33 millicuries of sodium iodide 1-131, for which a written directive is required

035.300 oral administration of greater than 33 millicuries of sodium iodide 1-131

035.300 parenteral administration of any beta-emitter, or a photon-emitting radionuclide with a photon energy less than 150 keV for which a written directive is required

035.300 parenteral administration of any other radionuclide for which a written directrve is required

0 35.400

0 35.500

035.600 remote afterloader units

035.600 teletherapy units

035.600 gamma stereotactic radiosurgery units

035.1000 emerging technologies, including: 31.11 Pre Packaged Kits .l3

EI Cs-137 Technical Operations Sealed

Sources

PAGE 5


• RADIATION SAFETY OFFICER TRAINING AND EXPERIENCE AND PRECEPTOR ATIESTATION (continued)

AND Third Section Complete for ALL

[{] I attest that Mary Hennings-Frank has achieved a level of radiation safety knowledge

Name of Proposed Radiation Safely Officer

sufficient to function independently as a Radiation Safety Officer for a medical use licensee.

~- .. -.- .. _ _- -.--- .. __ .. -_._._ .. _-.--_ .. __ .. --.-- .

Fourth Section Complete the following for Preceptor Attestation and signature

Sanford USD Medical CenterI am the Radiation Safety Officer for Name of Facility

License/Permit Number: NRC License #40-12378-01

•

I----- _,-----1-----,-----v~---l--cd6~_____j,L_#~._-I~-,.__(21--0.• Name of Preceptor ISignature IlTelePhone Number

Lovrien, Fred C. MD I 605-328-2170 i

PAGE 6

1600 W. 261h Street 605-357-8201 Sioux Falls, SD 57105 [email protected]

• Mary Hennings-Frank

Objective To use my knowledge, experience, dedication, and skills to work for a highly progressively growing company.

Experience 200 I - Present Southeast Technical Institute Sioux Falls, SD

Nuclear Medicine Program Director

• Responsible tor the organization, administration, periodic review, planning, development, and general effectiveness of the program.

• Input into budget preparation.

• Provide supervision and coordination to the clinical coordinator(s).

• Effective in instruction, curriculum design, program planning, evaluation and counseling.

1994-200 I DMS Imaging Sioux Falls, SD

Nuclear Medicine Manager

• Supervised 35 Nuclear Medicine Technologist in a 5 state region.

• Managed 24 mobile Nuclear Medicine trucks.

• Performed the hiring and dismissal ofNuclear Medicine Technologist.

1992-1994 Sioux Valley Hospital Sioux Falls, SD

Staff Nuclear Medicine Technologist

• Carried out Nuclear Medicine procedures.

• Performed patient care daily.

• Handled Radiation with care.

1989-1992 Avera McKennan Sioux Falls, SD

Staff Nuclear Medicine Technologist

• Carried out Nuclear Medicine procedures daily.

• Performed patient care daily.

• Radiation Safety.

Education 1982 - 1989 University of Iowa Iowa City, IA

• B.S., Nuclear Medicine

Interests Traveling, watching sporting events, laughing.

References Available upon request.

e e e

The Untttcr~ify of Iol.U~ ON THE RECOMMENDATION OF THE FACULTY OF THE

QInll£g£ nf 2Jl!I£mciu£ AND UNDER THE AUTHORITY OF THE BOARD OF REGENTS

THE UNIVERSITY OF IOWA HAS CONFERRED THE DEGREE OF

~at4£lnr n£ ~cient£ UPON

2Jl!Iarutfj~ ;M£nnittgz-JIfrank WHO HAS IHONORABLY FULFILLED ALL OF THE REQUIREMENTS

PRESCRIBED BY THE UNIVERSITY FOR THIS DEGREE AWARDED AT THE UNIVERSITY AT IOWA CITY IN THE STATE OF IOWA

'. THIS FOURTH DAY OF AUGUST, NINETEEN HUNDRED AND EIGHTY-NINE.

. I -J- e. /J/... ~ .",.~\VER.SITY 0,("'::>"'I\~~[;: . ;"~:o"" ~ r·p'~EiiSm lIJ '!~;"" 'N·'1

1:1l::[;;i.ii~~H ~J :". :: l~ ;('" "°UNDEDI'Otit

• e ~.

he nilJt>ttzify of loWel COLLEGE OF MEDICINE

THIS IS TO CERTIFY THAT

~arg ~mring5-Jffrauk HAS HONORABLY COMPLETED THE CLINICAL COURSE IN

~utI£ar ~e~itinc WerlruoInBll AND IN WITNESS WHEREOF, IS AWARDED THIS

QIcrtifitate in ~urI£ar 2R1Ie~irine WerlruoInBll AT IOWA CITY, IN THE STATE OF IOWA

AUGUST 11, 1989

~e4b::~ .'PRESII)ENT'OF TIIE UNIVERSI1Y ·············~~u~~OGy

. t2J f} -L ...................~..~

~nav

e e e

I lrotrinr@1rrhnnlugy Irvttftrctt.. ~ }1 lrClV.., ~ tOn .ur SPONSORED BY -q"'l

THE BOARD OF REGISTRY OF THE AMERICAN SOCIETY OF CLINICAL PATHOLOGISTS

THE SOCIETY OF NUCLEAR MEDICINE

AND

TECHNOLOGIST SECTION OF THE SOCIETY OF NUCLEAR MEDICINE

HEREBY CERTIFIES THAT

Mary B. Hennings-Frank HAS MET THE REQUIREMENTS THROUGH EXAMINATION BY THIS BOARD

AND IS HEREBY QUALIFIED TO PRACTICE THE SPECIALTY OF

NUCLEAR MEDICINE TECHNOLOGY

June 22, 1990

j . /1

(J1J--Clztl£P~~4', (fJ1{L~~/{!~/i1/' CHAIRMAN

'~if ' h' j)~ . --;;r-- d ?It...ttj' /:J/ (7ttttt:.:¥71/Li/t#I~

JI SECRETARY

The Society of Nuclear Medicine Technologist Section Attendance Verification Fonn

Program TItle: Building on the Past, Bridging the Future

Program Date: OCtober 13.15, 2006

Program Sponsor: . Missouri Valley Chapter Society of Nuclear Medicine

Program Location: Marriott Coralville Hotel & Conference Center, Coralvllle,lowa

SNM RHB Number: 0001

Participant's Name: fflety ~t1I'f1$,- FhlwK (P..... Print cleartvl

StreetAddress:Jhp(J,. ,0 026./:4 5-jree:t _ City: S'avXY&Ils = State:5[L Zip: S?lO$:_ SNM Member 10 # ..d Ji .2. .!2. -.h -L (Must enter for properly recorded eredit,

or specify Non·Member)

Saturday, October 14,2006 8:00am-9;00am From catalytic RNA to the Howard 025255 1.0

Hu has Institute 9:00am-10:QOam Advances in Molecular Imaging of 025256 .1.0

Cancer 10:30am-11:30am Nuclear Medicine and 025257 1.0

Neuroendocrine Tumors . 11:30am-12:30pm Adverse Effects of 025258 1.0

Radio harmaceuticals 1:30pm-2:30pm Coronary CT Angiography";' 025260 1.0

Whafs New? OR 1:30pm-2:30pm Pancreatic Cancer and the Impact of 025263 1.0

PETlma n 2:30pm-3:30pm SPECT/CT and Attenuation 025261 1.0

Correction OR 2:30pm-3:30pm Pharmacologic Stress Agents 025264 1.0 4:00pm-5:00pm Recent Advances iri SPECT 025262 1.0

Ima i OR 4:00pm:'5:00pm Tales from the Road Common 025265 1.0

Technical Errors Encountered . Sunday, October 15, 2006

8:00am-9:00pm o The Avoidance of PETICT Image 025266 . 1.0 Interpretation Errors in Nuclear

, Medicine 9:00am-10:00am General NuOiear Medicine -Read 025267

WlthThe erts 10:15am-11:15am Functioilallmaging of Lymphomas 025268 11:15am-12:15pm The Future of theProfession 025269

Total Credits 011 are clalmin

...

C:\Documents and Settings\Nanci A. Burchell\My Documents\BuildingonthePast..•025255-o25269\BuildingonthePast..025255025269.doc

~~eCUlarimaging

Society of Nuclear Medicine Technologist Section

Continuing Education Credit Certificate

Missouri Valley Chapter Society of Nuclear Medicine

Certifies

has satisfactorily completed

Building on the Past, Bridging the Future on October 13-15, 2006

at Marriott Coralville Hotel & Conference Center in Coralville, Iowa

and has earned i # of credits CEH(s)'

SNMTS VOICE Reference Number(s) 025255-025269

, Date Completed

S<lnal~~l~""or Sponsor

SNM Member 10 # d- B.- 2-5 ~_,

Advancing Molecular Imaging and Therapy

VOICE CE Credit Certificate

Missouri Valley Chapter Society of Nuclear Medicine

Spanning the Continuum - Nuclear to Molecular Imaging St. Louis, MO

and has earned ..J1L CEH(s)

SNMTS VOICE Reference #(5):

)( 026593 - Advances in Instrumentation - 1.0 K 026600 - Track B - Technologist Role in CEH(s) rCA Scope: NI] Emergencies involving RAM - 1.0 CEH(s) [CA

)It 026594 - Radiation Shielding for PET Centers - Scope: R and/or Radiation safety] 1.0 CEH(s) [CA Scope: R and/or Radiation safety] o 026601- Track C - Maintenance of Competency

k 026595 - Operating Errors and Imaging Artifacts 1.0 CEH(s) [CA Scope: NI] 1.0 CEH(s) [CA Scope: I] )(\ 026602 - Are you smarter than a Nuclear Medicine

Ji( 0~6596 - Contemporary Issues in Myocardial Student - 1.0 CEH(s) rCA Scope: I] Perfusion Imaging - 1.0 CEH(s) [CA Scope: I] )it 026603 - Read with the Experts: Hematology,

o 026597 - Track A - Student Session - 2.0 CEH(s) Oncology and Neurology - 2.0 CEH(s) [CA Scope: [CA Scope: NI] I]

)if . 026598 - Track B - Terrorism in Radioactive 14 0266Q4 - Fundamentals of CT Anatomy - 1.0 Materials - 1.0 CEH(s) [CA Scope: Rand/or CEH(s) rCA Scope: I] Radiation Safety] o 026605 - Laboratory Accreditation - New

o 026599 - Track C - The Next Chapter in Nuclear Directives and New Directions -1.0 CEH(s) rCA Cardiology - 1.0 ~EH(s) [CA SCope: I] Scope: Il

October 14, 2007 Date Completed

Nand A. Burchell - MVC SNM Program coordinator'~ . Signature of Authorized Representative or Sponsor

SNM/SNMTS ID#: ~ L.::L5.-~ ---!-1_

.....0 nlstory - Technologists Page 1 0,

1850 Samuel Morse Drive Reston, VA 20190-5316

Tel: 703.708.9000SNVI Fax: 703,708.9015 Auvancing Molecular Jmaging al'!U Therapy www.snm,org

November 13, 2007 VOICE TRANSCRIPT

The Society of Nuclear Medicine confirms you have participated in Mary Hennings-Frank the fOllowing continuing education activities between the dates ofSoutheast Technical Institute November 13, 2004 and November 14, 2007. The total of 13.502320 N Career Ave. VOICE credits has been earned. Sioux Falls, SO 57107

t-A_c_c_re_d_i_ta_ti_o_n_S_t_at_6_m_e_n_t --t elp ~ VOICE-approved credit is recognized by most N. Lynn Barnes, MEd licensure states and by the ARRT (as Category A Director of Education credit). Participants should report only those sessions at which they were present a minimum If you have any questions regarding this transcript, please caillhe of 80% of the presentation or for which a score of SNM Education Department at (703) 708-9000 or email 80% was earned via exam. [email protected].

VOICE Participation Detail 10287561

Activity/Session Title I Date ICredit Code I Credits

Read w/ the Experts: Hematology. Oncology & Nuerology (CA Scope: I) 10114/2007 026603 2.00

Advances in Instumentation (CA Scope: NI) 10/13/2007 026593 1.00

Radiation Shielding for PET Centers (CA Scope: R and/or Radiation Safety) 10/13/2007 026594 1.00

Operating Errors and Imaging Artifacts (CA Scope: I) 10/13/2007 026595 1.00

Contemorary Issues in Myocardial Perfusion (CA Scope: I) 10/13/2007 026596 1.00

Track B - Terrorism in Radioactive Materials (CA Scope: R and/or Radiation 10/13/2007 026598 1.00 Safety)

Track B - Technologist Role in Emergencies involving RAM (CA Scope: Rand/or 10/13/2007 026600 1.00 Radiation Safety)

Are You Smarter than a Nuclear Medicine Student? (CA Scope: I) 10/13/2007 026602 1.00

Receptor Binding Kinetics for Diagnosis and Therapy- Part I: Basic Science (CA 6/5/2006 024748 1.50 Scope: 1.5 R)

MIRD CME: Bystander and Low-Dose Rate Effects - Are These Relevant to 6/4/2006 024724 1.50 Radionuclide Therapy: Part I (CA Scope: 1.5 NI)

General Nuclear Medicine - Part I (CA Scope: 15 I) 6/4/2006 024861 1.50

Total Credits: I 13.50

https:llinteractive.snm.org/index.cfrn?PageID=3079&RPID=3079

Course #NM-227 Computers & Instrumentation 3 Credits Southeast Technical Institute Syllabus Fall 2007

Instructor: Mary Hennings-Frank Class Time: M/W/F 2:00pm - 2:50pm Office: HC 213 Course Location: HC 255 Telephone: (605) 367-4632 FAX: (605) 367-5724 E-mail: mary.hennings-frank(i1{southeasttech.comOffice Hours: Monday 1-2pm

Tuesday 11am-Noon Wednesday 8-9am Thursday 3-4pm Friday 1-2pm

I. Catalog Description Exposes students to the practical approach of using computers in Nuclear Medicine as well the fundamentals of Instrumentation. Students will also acquire experience with the function of equipment used in the daily practice of nuclear medicine.

II. Course Prerequisites HC Ill, NM 101, NM 120, NM 123, NM124, NM220,

III. Description of Instructional Methods

• Southeast Technical Institute values a student-centered learning environment, which nurtures intellectual and social development. Southeast instructors have designed their general education courses to utilize a variety of instructional methods.

This course includes the following:

Course readings Collaborative learning groups Lecture Discussion In class presentations Modeling of learning activities Demonstrations

IV. Course Requirements

a. Required textbook(s) and other materials Essential: Nuclear Medicine Physics Rachel A. Powsner & Edward R. Powsner Second Edition

b. Supplementary materials

• Daily Assignments Nuclear Medicine and PET; Mosby Practical Mathematics in Nuclear Medicine; Patricia Wells, MAE, CNMT

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c. Class attendance policy

It is the students' responsibility to call or e-mail the instructor if they are sick or tardy. If the student fails to call or e-mail the instructor of their absent, a written document will be typed up and put in the student file. If the student is tardy three times during the semester course, both the student and the instmctor will meet and corrective action will be taken.

Southeast General Catalog describes the institute's standard attendance policy: One absence per credit hour is allowed in a course before absences can reduce grades. For this course which is a 3 credit course, if the student is absent the fourth time, not only will the student's final grade be reduced by one-half the letter grade, the student will also be put on corrective action.

All records of absenteeism and tardiness will be kept in the students file and are open for discussion with potential clinical site and employers.

In all cases of absence, it is necessary for students to make up work that is missed. It is the responsibility of the student to make arrangements with the instructor(s) to make up missed work.

d. Cheating and plagiarism policy

Students attending Southeast Technical Institute are expected to comply with all pertinent state laws and take personal responsibility for their conduct.

Southeast policies authorize suspension or termination of any student from school for misconduct as outlined in the rules of this policy. The following student misconduct shall constitute grounds for student discipline, suspension, or termination when such activity occurs on school grounds or during an educational function under the auspices of the school board: acts of dishonesty, including cheating and plagiarism or other forms of dishonesty relating to academic achievement.

e. Make-up policy

Assignments: Students are expected to turn in assignments on the day indicated in the course schedule. Late assignments are defined as any assignment turned in after they were collected by the instructor. Late assignments will be docked 10% for each day late.

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Quizzes: Quizzes may be given at anytime without warning over any material, which has been presented via; lecture, video, assigned reading, or guest speaker. The purpose of quizzes is to assess the students understanding or retention of infonnation presented, at a given place and time. There is a specified time limit for each quiz, and the papers will be collected after that time period. Any student entering late into class will only have the remaining time allowed to complete. If you are absent on the day of a quiz, the quiz will be zero. No quizzes are to be made up.

Test: If you are absent the day of a test, you must notify your instructor and make arrangements to make up the test before the next lecture (at the soonest make-up time available). The following criteria will be made concerning make-up testing;

• 1st test made up = no grading penalty 2nd• test made up = -7% to the test grade 3rd• test (and any subsequent test) = -14% to the test grade

• ANT TEST NOT MADE UP WITHIN ONE WEEK WILL BE SCORED AS A ZERO

Make up test schedule will be posted at the beginning of the semester. To make up the test, you must know the name of your instructor, the course number of the class you are making up a test for, and have a photo ID>

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Course #NM-227 Computers & Instrumentation 3 Credits

• Southeast Technical Institute Syllabus Fall 2007

Classroom Expectation:

1. Class days are Monday, Wednesday, and Friday from 2:00pm - 2:50pm.

2. Any requests for absences or schedule changes are to be made prior to the beginning of the course whenever possible. Granting requests will be at the discretion of the course instructor.

3. Attendance at all classes is mandatory. Students are expected to notify the instructor for all absences by leaving a message on their voice mail or e-mail.

4. The student is responsible for any missed classroom content. There may be make-up activities as determined by the instructor.

5. If the student becomes ill during the day, they are to notify the instructor prior to leaving directly or by voicemail.

6. Tardiness to class is an unacceptable behavior. Tardiness up to 10 minutes will be counted as 1/3 absent, late three times is the equivalent to one absence.

7. There will be no makeup of quizzes due to tardiness.

8. Assignments in the syllabus are to be completed before class unless stated otherwise.

9. All school policies and conduct are to be followed as stated in the student handbook.

10. Class schedules are subject to change at the discretion of the instructor. Students will be informed as early as possible of the changes.

11. All course requirements must be met in order to successfully complete the course.

12. An overall grade of 80% (C) or above must be attained in order to pass this course.

13. Cell phones are to be turned off or placed on a silent mode during class.

14. Lap top computers are allowed for note taking in the class. They should not bc used for e-mailing, instant messaging, or surfing the website during class.

15. Violations of safety to self an others, or violation to safe operating practices of equipment may result in reduction or loss of your daily grade, removal from class,

• and/or other disciplinary action.

16. Students are required to follow nuclear medicine dress code (as listed below).

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• Dress Code:

• No open toe shoes (example: Scandals) • No Jeans • No caps of any kind • No ripped clothing • No Shorts/Tank tops of any kind • Scrubs (no sweatshirts over scrub top. May wear long or short sleeve

white T-shirt under scrubs, and or add lab coat if cold) • Nice dress pants and shirts if not wearing scrubs • No revealing clothing • Limited and conservative jewelry and cosmetics • Limited exposed body piercing and tattoos • Personal hygiene should limit body odor, including perfumes and

colognes • Smoke odor should not be detectable

Students in violation of dress code will be asked to correct their transgression in prior to joining the classroom.

• v. Course Goals

Objectives 1. Explain the structure of the

Periodic Table, discussing the various symbols and abbreviations used in the table.

2. Explain the structure of the trilinear chart of the nuclides, discussing the various symbols and abbreviations used in the chart.

3. Describe the process of ionization.

4. From a decay scheme, name the parent radionuclide, daughter, half-lives of parent and daughters, types of emissions, energy of emissions, and abundance and oriQin of the emissions.

17. State the characteristics of the parallel-hole, diverging, converging, pinhole, slant-hole, and fan-beam collimators as they relate to the Anger scintillation camera.

18. Describe the components of a scintillation camera and the function of each.

19. Describe the physical and chemical properties of gamma camera crystals. Discuss the effects of crystal thickness on resolution and efficiency.

20. Describe the types and number of photomultiplier tubes used in gamma cameras, explaining the rationale for various types and configurations.•

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• 5. Define and calculate the decay constant of a radionuclide.

6. Determine the decay factor, given half-life, time, and required decay chart or calculator with In and eX functions.

7. Discuss the principles of operation of the pocket dosimeter, Cutie-pie, and dose calibrator.

8. Describe pulse-size characteristic for an ion chamber when operated in the ion chamber region, the proportional region, and the G-M region; describe the gasdetector response as a function of voltage; and state the basic principles of operation of gas detectors.

9. Describe the following QC procedures for dose calibrator, stating frequency and allowable variances for each procedure: geometry, linearity, accuracy, precision, and constancy.

10. Describe the components and applications of G-M tubes, including voltage plateau, effects of background, and quenching.

11. List and describe the function of each component of aNal (TI) scintillation detector.

12. Describe the characteristics of scintillation detector crystals.

13. Describe the basic physical concepts involved with scintillation spectrometry, the practical operation of the scintillation detector, and the practical operation of the pulse-height analyzer portion of the spectrometer.

21. Explain the function of the x, y, and z signals used in a gamma camera system, discussing the significance of the signals in the production of an accurate image on the display system.

22. Describe the effect on an image when the following situations occur:

a. Cracked or fractured crystal

b. Improper PM tube calibration

c. Improper PHA calibration d. Improperly focused CRT e. Unclean CRT

23. Compare acquisition parameters of SPECT imaging with those of planar imaging.

24. Compare acquisition parameters of PET, SPECT, and PCD imaging.

25. Define terms such as ramp filter, cutoffs, and Fourier reconstruction and filtering.

26. Outline the steps in a comprehensive quality control program for a scintillation camera.

27. Identify special problems that occur when SPECT quality control procedures are performed, addressing specifically uniformity, linearity, and COR.

28. Discuss buffers and zoom as they relate to nuclear medicine computers.

29. Compare list mode acquisition to histogram and frame acquisition, explaining the advantages and disadvantages of each approach.

30. Diagram and/or describe how the computer performs a mitigated acquisition study.

31. Discuss matrix types and sized for work and byte mode, and give examples of each. •

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• 14. Operate a solid scintillation counter and demonstrate this ability by obtaining a gamma ray spectrum using a singlechannel analyzer.

15. Determine pulse height analyzer (PHA) setting to include a desired energy range. Determine the energies to be included by a specific PHA setting.

16. Outline specific QC procedures for scintillation counter to include the following window calibration, sensitivity, energy resolution, volumetric evaluation, and chi-square determination.

32. Compare and contrast the various types of display systems used on nuclear medicine computers.

33. List data processing operations that are essentially cosmetic treatments of the image, and explain briefly how each is accomplished.

34. Describe the relationship between a ROI and a histogram generated from a dynamic study.

VI. Student Learning Outcomes

Student success is important to STI faculty, and all faculty are involved in assessing student learning. Upon completion of an Associate in Applied Science degree, Southeast graduates will have competence in the following four broad student outcomes:

1. Science & Technology: Technical competence including knowledge of technology and/or scientific principles as these apply to programs.

2. Problem Solving & Critical Thinking: The ability to select and use various approaches to solve a wide variety of problems - scientific, mathematical, social and personal. Graduates will also be able to evaluate information from a variety of perspectives, analyze data and make appropriate judgments.

3. Communication: The ability to communicate effectively in several forms oral, written, nonverbal and interpersonal. Graduates will also demonstrate knowledge of how to manage and access information.

4. Professionalism: Strong work ethic, including responsible attendance; skill in teamwork and collaboration, as well as an ability to work with others, respecting diversity; ability to adapt to change; commitment to lifelong learning; adherence to professional standards; and positive self-esteem and integrity.

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• VII. Evaluation Procedures

a. Assessments

The methods of evaluation and criteria for this course are: 4 exams with quizzes and assignments to monitor the overall learning criteria. A comprehensive final will be given to monitor how much the students have retained.

Grading procedure:

4 Unit exams: 70% Quizzes/Assignments 15% Final Exam: 15%

b. Grading policy

Letter Percent Grade

A 94% - 100% B 87% - 93% C 80% - 86% D 74%-79% F <=73%

A grade of C (80%) or greater is required to successfully pass this course.

Grades in this course are only rounded to the second place following the decimal. Grades will not be rounded to the nearest whole number.

VIII. ADA Statement

The instructor in this course will act with integrity and strive to engage in equitable verbal and nonverbal behavior with respect to differences from age, gender, race, handicapping conditions, and religion. If you have special needs as addressed by the Americans with Disabilities Act and need course materials in alternative formats, notify your instructor immediately. Reasonable efforts will be made to accommodate your special needs.

Violation of safety to self and others and/or violations of safe operating practices of equipment may result in: the reduction or loss of your daily grade; removal from class

• andlor other disciplinary action.

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• IX. Tentative Course Outline/Schedule

UNIT 1 (August 20th through September 14th)

Chapter 1: Basic Nuclear Medicine Physics (Page 1 - 19) Chapter 2: Interaction of Radiation with Matter (Page 20 - 28) Chapter 3: Formation of Radionuclides (Page 29 - 36) September 3rd (No Class) September 14th Unit Test #1

UNIT 2 (September 17th through October 12th)

•

Chapter 4: Nonscintillation Detectors (Page 37 - 51) Chapter 5: Non-imaging Scintillation Detectors (Page 52 - 64) Chapter 6: Imaging Instrumentation (Page 65 - 84) October 10th Unit Test #2 October 12th Missouri Valley Chapter Meeting

UNIT 3 (October 15th through November 9th)

Chapter 7: Single-Photon Emission Computed Tomography (SPECT) (Page 85 - 113) November 9th Unit Test #3

UNIT 4 (November 12th through December 12th)

Chapter 10: Quality Control November 12th (No Class) November 23rd (No Class) December 12th Unit Test #4

Review and Final

December 14th Review for final December 19th Comprehensive Final

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Course #NM-220 Radiation Safety & Biology 3 Credits Southeast Technical Institute Syllabus Summer 2007

• Instructor: Mary Hennings-Frank Class Time: W/F 9:00am - l2:00pm Office: HC 213 Course Location: HC 255 Telephone: (605) 367-4632 FAX: (605) 367-5724 E-mail: [email protected] Hours: Monday 9-1 Oam

Tuesday 3-4pm Wednesday 1-2pm Thursday 12pm-1pm Friday 2-3pm

I. Catalog Description Students will enhance their knowledge in the safe use of radionuclides and their handling. This will also encompass the legal requirements set for by the NRC and other governing agencies to benefit the patient, the technologist, and the public in the clinical environment.

II. Course Prerequisites HC Ill, NM 101, NM 120, NM 123, NM124


• Southeast Technical Institute values a student-centered learning environment, which nurtures intellectual and social development. Southeast instructors have designed their general education courses to utilize a variety of instructional methods.




a. Required textbook(s) and other materials Radiation Protection in Medical Radiography; Statkiewicz-Sherer, Visconti, Ritenour; Mosby; 5th Edition

b. Supplementary materials Daily Assignments

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• c. Class attendance policy

It is the students' responsibility to call or e-mail the instructor if they are sick or tardy. If the student fails to call or e-mail the instructor of their absent, a written document will be typed up and put in the student file. If the student is tardy three times during the semester course, both the student and the instructor will meet and corrective action will be taken.



• In all cases of absence, it is necessary for students to make up work that is missed. It is the responsibility of the student to make arrangements with the instructor(s) to make up missed work.




e. Make-up policy


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• Quizzes: Quizzes may be given at anytime without warning over any material, which has been presented via; lecture, video, assigned reading, or guest speaker. The purpose of quizzes is to assess the students understanding or retention of information presented, at a given place and time. There is a specified time limit for each quiz, and the papers will be collected after that time period. Any student entering late into class will only have the remaining time allowed to complete. If you are absent on the day ofa quiz, the quiz will be zero. No quizzes are to be made up.

T est: If you are absent the day of a test, you must notify your instructor and make arrangements to make up the test before the next lecture (at the soonest make-up time available). The following criteria will be made concerning make-up testing:

• lSI test made up = no grading penalty 2nd• test made up = -7% to the test grade 3rd• test (and any subsequent test) = -14% to the test grade

• ANT TEST NOT MADE UP WITHIN ONE WEEK WILL BE SCORED AS A ZERO

• Make up test schedule will be posted at the beginning of the semester. To make up the test, you must know the name of your instructor, the course number of the class you are making up a test for, and have a photo ID>

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Course #NM-220 Radiation Safety & Biology 3 Credits

• Southeast Technical Institute Syllabus Summer 2007


1. Class days are Wednesday and Friday from 0900 - 1200

2. Any requests for absences or schedule changes are to be made prior to the beginning of the course whenever possible. Granting requests will be at the discretion of the course instructor.



5. If the student becomes ill during the day, they are to notify the instructor prior to leaving directly or by voicemail.



• 8. Assignments in the syllabus are to be completed before class unless stated otherwise.





13. Cell phones are to be turned off or placed on a silent mode during class.

14. Lap top computers are allowed for note taking in the class. They should not be used for e-mailing, instant messaging, or surfing the website during class.

15. Violations of safety to self an others, or violation to safe operating practices of equipment may result in reduction or loss of your daily grade, removal from class, andlor other disciplinary action.

16. Students are required to follow nuclear medicine dress code (as listed below).

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• Dress Code:

• No open toe shoes (example: Scandals)

• NOJEANS • No caps of any kind • No ripped clothing • NO SHORTS OR TANK TOPS • Scrubs (no sweatshirts over scrub top. May wear long or short sleeve


colognes

• Smoke odor should not be detectable


• V. Course Goals

Objectives 1. Identify the syndromes associated

with radiation exposure 6. Define various radiation limits and procedure to measure

2. Calculate units of measurements used in Nuclear Medicine

7. Identify, measure and account for radiation under safe exposure conditions

3. Explain the effects and responses of ionizing radiation on cells and tissues

8. Describe Code of Federal Regulations title 10 part 19,20,30, and 35

4. Recognize factors affecting cell responses to radiation

9. Perform radiation surveys using various meters

5. Identify the regulatory agencies and licensing regulations

10. Recognize regulations by DOT, etc.

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• VI. Student Learning Outcomes


1. Science & Technology: Technical competence including knowledge of technology andlor scientific principles as these apply to programs.

2. Problem Solving & Critical Thinking: The ability to select and use various approaches to solve a wide variety of problems - scientific, mathematical, social and personal. Graduates will also be able to evaluate information from a variety of perspectives, analyze data and make appropriate judgments.

3. Communication: The ability to communicate effectively in several fOlms -oral, written, nonverbal and interpersonal. Graduates will also demonstrate knowledge of how to manage and access information.


As a result of taking this course, the following student outcomes will be sought by helping the student develop:

VII. Evaluation Procedures

a. Assessments


Grading procedure:

5 Unit exams: 65% QuizzeslAssignments 20% Final Exam: 15%

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• b. Grading policy


A 94% - 100% B 87% - 93% C 80% - 86% D 74% -79% F <=73%

A grade ofC (80%) or greater is required to successfully pass this course.


VIII. ADA Statement

The instructor in this course will act with integrity and strive to engage in equitable verbal and nonverbal behavior with respect to differences from age, gender, race, handicapping conditions, and religion. If you have special needs as addressed by the

• Americans with Disabilities Act and need course materials in alternative formats, notify your instructor immediately. Reasonable efforts will be made to accommodate your special needs.

Violation of safety to self and others andlor violations of safe operating practices of equipment may result in: the reduction or loss of your daily grade; removal from class andlor other disciplinary action.

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June 6: We!come/SylIabuslExpectations/Rules/Questions Chapter 4 "Overview of Cell Biology" (Page 63-82)

June 8:

June 13:

•

June 15:

June 20:

June 22:

June 27:

June 29:

x.

July 6:

July 11:

July 13:

July 18:

July 20:

July 25:

July 27:

Statkiewicz Sherer (Mosby Sth Edition)

Chapter 3 "Radiation Quantities and Units" (Page 4S-62) Statkiewicz Sherer (Mosby SUI Edition)

Unit Exam #1 (Chapter 3 & 4) Chapter 5 "Molecular and Cellular Radiation" (Page 83-109) Statkiewicz Sherer (Mosby 5th Edition)

Chapter 6 "Radiation Effects on Organs Systems" (Page 110-140) Statkiewicz Sherer (Mosby 5th Edition)

Unit Exam #2 (Chapter S & 6) Chemobyl Movie

Chapter I "Introduction to Radiation Protection" (Page 1-24) Statkiewicz Sherer (Mosby Sth Edition)

Chapter 2 "Interaction of X-radiation with Matter" (Page 25-44) Statkiewicz Sherer (Mosby Sth Edition)

Unit Exam #3 (Chapter 1 & 2) Chapter 7 "Dose Limits for Exposure to Ionizing Radiation" (Page 141-162) Statkiewicz Sherer (Mosby 5th Edition)

Tentative Course Outline/Schedule

NRC CFR Licensing (Handout)

Unit Exam #4 (Chapter 7 and NRC licensing) Handout reading

Chapter 10 "Radiation Monitoring" (Page 249-268) Statkiewicz Sherer (Mosby 5th Edition)

Chapter 11 "Radioisotopes and Radiation" (Page 269-286) Statkiewicz Sherer (Mosby 5th Edition)

Unit Exam #5 (Handout reading, Chapter 10 & 11) Patient Care and Quality Improvement (Chapter 8 Mosby) Review for Final

Comprehensive Final

Clinical picks selection

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• Class Content

June 6th Class orientation/SyllabuslLecture Chapter 4 "Overview of Cell Biology" Upon completion of this session, the student will:

1. Describe the expectations of the course 2. Discuss the objectives of the course 3. Explain the focus of the course 4. Discuss the grading policy for this course 5. State the purpose for acquiring a basic knowledge of cell structure, composition,

and function as a foundation for radiation biology. 6. List the essential functions of water in the human body. 7. Describe the molecular structure of deoxyribonucleic acid and explain the way it

functions in the cell. 8. List the various cellular components and identify their physical characteristics and

functions. 9. Distinguish between the two types of cell division, mitosis and meiosis, and

describe each process. Assignments:

• Read Chapter 4 page 63-82 (Mosby) • Crossword puzzle and Cell labeling

• June 8th Lecture Chapter 3 "Radiation Quantities and Units" Upon completion of this session, the student will:

1. Explain the concept of skin erythema dose, tolerance dose, and threshold dose. 2. Differentiate between somatic and genetic effects 3. Differentiate between the following radiation quantities: exposure, absorbed

dose, equivalent dose, and effective dosed, and identify the appropriate symbol for each quantity.

4. List and explain the International System (SI) and traditional units for radiation exposure, absorbed dose, equivalent dose, and effective dose.

5. Given the numeric value for an absorbed dose of radiation stated in gray (rad), the radiation weighting factor for the type and energy of radiation in question, and the tissue weighting factor, determine the effective dose.

Assignment: • Read Chapter 3 page 45 - 62 (Mosby) • Math problems • General Discussion Questions Page 61 (1-10)

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• June 13th Test #1 Lecture Chapter 5 "Molecular and Cellular Radiation" Upon completion of this session, the student will:

1. List the three radiation energy transfer determinates and explain their individual concepts.

2. Differentiate between the three levels of biologic damage that may occur in living systems as a result of exposure to ionizing radiation and describe how the process of direct and indirect action of ionizing radiation on the molecular structure of living systems occurs.

3. Describe target theory. 4. Explain the purpose for and function of survival curves. 5. List the factors that affect cell radiosensitivity.

Assignments:

• Read Chapter 5 page 83 -109 (Mosby) • Crossword Puzzle

June 15th Lecture Chapter 6 "Radiation Effects on Organ Systems" Upon completion of this session, the student will:

1. Explain the purpose of a radiation dose-response curve.

• 2. Differentiate between threshold and nonthreshold relationships. 3. List and describe the various early nonstochastic somatic effects, late

nonstochastic somatic effects, and late stochastic somatic effects of ionizing radiation on living systems.

4. Describe acute radiation syndrome and identify the stages. 5. LD 50/30 and the meaning. 6. Describe the concept of risk for radiation-induced malignancies. 7. Explain how spontaneous mutations occur. 8. Differentiate between dominant and recessive gene mutations.

Assignments: • Read Chapter 6 page 110 - 140 (Mosby) • General Discussion Questions page 138 (1-5)

June 20th Test #2 Chernobyl Movie Upon completion of this session, the student will:

1. Identify radiation effects from the atomic bomb survivors of Hiroshima and Nagasaki.

Assignments: • A handout will be giving during the movie .

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• June 22nd Lecture Chapter 1 "Introduction to Radiation Protection" Upon completion of this session, the student will:

1. Discuss the concept of effective radiation protection. 2. Explain the justification and responsibility for nuclear medicine procedures. 3. Explain how imaging professionals can help ensure that both occupational and

nonoccupational dose limits remain well below maximum allowable levels. 4. State the ALARA principle and discuss its significance in diagnostic imaging. 5. List and describe three sources of natural background ionizing radiation and six

sources of manmade, or artificial, ionizing radiation. 6. Describe the potential for ionizing radiation to cause biologic damage. 7. List the different forms of electromagnetic and particulate radiation and identify

those forms that are classified as ionizing radiation. 8. Explain the concept of equivalent dose and effective dose. 9. Discuss the significance of the sievert as a unit of measure for equivalent dose.

Assignments:

• Read Chapter 1 page 1 - 24 (Mosby) • Matching worksheet

• June 27th Lecture Chapter 2 "Interaction of X-radiation with Matter" Upon completion of this session, the student will:

1. Describe the process of absorption and explain the reason why absorbed dose is atoms of biologic matter should be kept as small as possible.

2. List the events that occur when x-radiation passes through matter. 3. Discuss the probability of photon interaction with matter. 4. List and explain the five processes of interaction with matter: Compton scattering,

photoelectric absorption, pair production, coherent scattering, and photodisintegration.

Assignments:

• Read Chapter 2 page 25 - 44 (Mosby) • Crossword puzzle • General Discussion Questions page 42 - 43 (1, 5, 7, 9)

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June 29th Test #3 Lecture Chapter 7 "Dose Limits for Exposure to Ionizing Radiation" Upon completion of this session, the student will:

1. List and describe the function of the four major organizations that share the responsibility for evaluation the relationship between radiation equivalent doses and induced biologic effects and five U.S. regulatory agencies responsible for enforcing established radiation effective dose limiting standards.

2. Describe effective dose limit and the effective dose limiting system. 3. Describe current radiation protection philosophy and state the goal and objective

of radiation protection. 4. Explain the concept of risk as it relates to the medical imaging industry. 5. Identify the risk from exposure to ionizing radiation at low absorbed doses. 6. State the following in terms of International System (SI) units and traditional

units: a. Annual occupational dose limits b. Annual effective dose limits c. Annual equivalent dose limits d. Annual effective dose limit for a minor e. Annual occupational dose limits for pregnant worker

Assignments: • Read Chapter 7 page 141 -162 (Mosby) • Fill in the blank worksheet

July 6th Lecture on NRC CFR Licensing Upon completion of this session, the student will:

1. Post appropriate signs in designated areas. 2. Package radioactive materials according to regulations. 3. Maintain accurate, written radiation safety/protection records. 4. Use radiation monitoring devices. 5. Review monthly personnel exposure records with regard to maximum permissible

radiation dose limits. 6. Reducing radiation exposure. 7. Notifying the appropriate authority of excessive radiation exposure. 8. Notifying the appropriate authority of a medical event. 9. Proper methods of storage of radiopharmaceuticals 10. Instructions in radiation safety precautions to patient, family or staff. 11. Maintain appropriate quality control records.

Assignments: • Read handout

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• July 11til Test #4 Lecture "Radiation Protection in Nuclear Medicine" Upon completion of this session, the student will:

1. State the annual occupational effective dose limit for whole body exposure of diagnostic imaging personnel routine operations and explain the significance of the ALARA concept for these individuals.

2. Identify the type of x-radiation that poses the greatest occupational hazard in diagnostic nuclear medicine and explain the various ways this hazard can be reduced or eliminated.

3. Explain the way various methods and techniques that reduce patient exposure during a diagnostic examination also reduce exposure for the nuclear medicine technologist.

4. List and explain the three basic principles of radiation protection that can be used for personnel exposure reduction.

5. State and explain the inverse square law. 6. Describe the construction of protective structural shielding, and list the factors

that govern the selection of appropriate construction materials.

Assignments:

• Read Hand out • Radiation Protection Math Problems

July 13th Lecture Chapter 10 "Radiation Monitoring" Upon completion of this session, the student will:

1. State the reason why a radiation worker should wear a personnel dosimeter and explain the function and characteristic of such devices.

2. Describe the various components of the film badge, pocket ionization chamber, and TLD and explain the use of each of these devices as personnel monitors.

3. Explain the function of radiation survey instruments. 4. List three gas-filler radiation survey instruments. 5. Explain the purpose of the following instruments: ionization chamber (cutie pie),

proportional counter, Geiger-Muller (GM) detector.

Assignments: • Read Chapter 10 page 249 - 268 (Mosby) • General Discussion QUl::stions page 267 (l - 10)

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• July 18th Lecture Chapter 11 "Radioisotopes and Radiation" Upon completion of this session, the student will:

1. Describe how therapeutic isotopes may be characterized. 2. Describe the process of electron capture. 3. Identify the tow best radiation safety practices to follow for patients having

therapeutic prostate seed implants. 4. Explain the process of beta decay. 5. Discuss the radiation hazards that may be encountered by personnel caring for a

patient who is receiving iodine-I31 therapy treatment for thyroid cancer. 6. Explain how radioisotopes are used as radioactive tracers in nuclear medicine

work. 7. Identify and describe the type of radiation events that are used in positron

emission tomography. 8. Describe the procedure for external decontamination from radioactive materials.

Assignments:

• Read Chapter 11 page 269 - 286 (Mosby) • Crossword puzzle

July 20th Test Unit #5 Lecture Patient Care and Quality Improvement Upon completion of this session, the student will:

1. Identify steps that must be taken prior to patient arrival for a nuclear medicine procedure.

2. Describe appropriate techniques for interacting with various age groups. 3. Describe and demonstrate proper viniculture techniques. 4. Describe and demonstrate the proper monitoring and care of intravenous lines. 5. Describe and demonstrate the standard precaution guidelines. 6. Demonstrate proper aseptic and sterile techniques. 7. Describe quality-improvement programs and their relationship to nuclear

medicine services.

Assignments: • Read Nuclear Medicine and PET (Christian) Chapter 8 page 221 - 235

July 25th Comprehensive Final

July 27th Clinical picks selection

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Course #NM-124 Nuclear Medicine Math and Stats 3 Credits Southeast Technical Institute Syllabus Spring 2007

Instructor: Mary Hennings-Frank Class Time: M/W 2:00pm - 3:15pm Office: HC 213 Course Location: HC 255 Telephone: (605) 367-4632 FAX: (605) 367-5724 E-mail: [email protected] Hours: Monday 9-1 Oam

Tuesday 3-4pm Wednesday 1-2pm Thursday 10-11 am Friday 2-3pm

I. Catalog Description A practical working knowledge of fundamental mathematics is developed for a thorough understanding of nuclear medicine applications. Topics include statistics, radiation safety, instrumentation, radiopharmacy, clinical procedures, with decay charts and universal decay table

II. Course Prerequisites Math 101, Physics 100, and NM 101


Southeast Technical Institute values a student-centered learning environment, which nurtures intellectual and social development. Southeast instructors have designed their general education courses to utilize a variety of instructional methods.



IV. Course Requiremeuts

a. Required textbook(s) and other materials Practical Mathematics in Nuclear Medicine Technology, Patricia Wells, MAE, CNMT


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c. Class attendance policy

Southeast General Catalog describes the institute's standard attendance policy: One absence per credit hour is allowed in a course before absences can reduce grades. Instructors may reduce a student's final grade by one-halfletter for each additional absence.




Southeast policies authorize suspension or termination of any student from school for misconduct as outlined in the rules of this policy. The following student misconduct shall constitute grounds for student discipline, suspension, or termination when such activity occurs on school grounds or during an educational function under the auspices of the school board: acts ofdishonesty, including cheating and plagiarism or other forms of dishonesty relating to academic achievement.

e. Make-up policy

Students are expected to turn in assignments on the day indicated in the course schedule. It will be subject to instructor's discretion as to whether the assignment will be accepted late. The instructor will issue a grade of incomplete only for extenuating circumstances. No assignment will be accepted for grade after the final day of the course.

All assignments must be turned in at the time specified. Late assignments will be deducted 20% for each class day that it is late. Any missed exam must be made up according to the Health Team policy. Students have one week from the day of the test to make up the exam. It is the responsibility of the student to inform the instructor of when they are going to be taking the makeup exam. The first make-up test is "free" meaning no points will be taken off; 7 points will automatically be taken off for the second missed exam; 14 points will automatically be taken off for the third, fourth, etc. missed exam. The student may be required to take an alternative exam. Quizzes may not be made up. It is the responsibility of the student for all assigned work, notes, handouts, readings etc. . A minimum of 80% is required to successfully pass this course according to Southeast Heath grading policy.

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V. Course Goals

Ob_iectives l. Practice rounding of numbers,

mathematical operations, powers, exponents, and roots.

8. Discuss mean, median, mode and standard deviation of values.

2. Compare inverse and direct proportions.

9. Radiation safety with time, distance, shielding, half-life calculations.

3. Demonstrate the ability to multiple conversions.

10. Calculating percent error for different instruments, geometry, constancy, efficiency.

4. Analyze logs, natural logs, and antilog.

11. Performing window calculations, camera sensitivity, pixel calculations, pipetting and centrifuge use.

5. Graph results on linear & semi-log paper and slope calculations.

12. Demonstrate decay calculations, dose volumes, pediatric dose calculations, Mo-99 generators, elations, and chromatography.

6. Demonstrate use of statistics: percents error or difference.

13. Practice clinical procedures for calculating ejection fractions, plotting curves for gastric emptying studies.

7. Comparing effects ofbackground on counts and counting rates.

14. Performing calculations for quantitative studies, uptakes, in-vitro procedures.

VI. Student Learning Outcomes

Student success is important to STI faculty, and all faculty are involved in assessing student learning. Upon completion ofan Associate in Applied Science degree, Southeast graduates will have competence in the following four broad student outcomes:

1. Science & Technology: Technical competence including knowledge of technology and/or scientific principles as these apply to programs.

2. Problem Solving & Critical Thinking: The ability to select and use various approaches to solve a wide variety ofproblems - scientific, mathematical, social and personal. Graduates will also be able to evaluate information from a variety ofperspectives, analyze data and make appropriate judgments.

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3. Communication: The ability to communicate effectively in several formsoral, written, nonverbal and interpersonal. Graduates will also demonstrate knowledge of how to manage and access information.


As a result oftaking this course, the following student outcomes will be sought by helping the student develop:


a. Assessments

The methods of evaluation and criteria for this course are: Each student will be given a pre-exam before the beginning of the course, at mid-term, and then again at the end of the course to assess their math skills that they have learned throughout the this course.

b. Grading policy


A 94% - 100% B 87% - 93% C 80% - 86% D 74% -79% F <=73%

VIII. ADA Statement


Violation of safety to self and others and/or violations of safe operating practices of equipment may result in: the reduction or loss of your daily grade; removal from class and/or other disciplinary action.

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IX. Tentative Course Outline/Schedule

Chapter I: Basics Math Skills for Nuclear Medicine Technology

Jan sth; Syllabus & pages 3-5; Pre-Exam Jan 10th

; Significant figures and rounding, page 1-4; Powers and exponents, page 9 &10; Scientific notation, page 13-16; (Assignment Page 5, problems 6-20: Page 15-16 Odd number problems only); Due 1/17)

Jan 17th : Direct and inverse proportions, page 20-25; Converting within the metric

system, page 26-31; Converting Curie and Becquerel page 32-34; Converting Rad and Gray page 35-36; Converting Rem and Sieverts page 37-38; Converting pound and kilogram page 39-40. (Assignment page 23-24 Odd number problems only; Page 31 Odd number problems only; problems on page 34, 11-20; problems page 40 Even number only Due 1/22)

Jan 22Dd: Logs, natural logs page 43-45; Solving equations page 46-47; Graphing on

linear papers page 48-51; (Assignment problems page 44-45 Even only; problems page 47 Even only; problems page 51, 1-12 Odd only Due l/24)/REVIEW

Jan 24th: UNIT 1 EXAM OVER CHAPTER I

Chapter III: Radiation Protection Jan 29th: Conversion of counts per minute to disintegrations per minute page 93-95;

Exposure rate constants page 96-97; Radiation dose vs. time page 98-100; Radiation dose vs. distance page 101-104; (Assignment problems page 94-95, 1-10; problems page 97 Odd only; problems page 99, 1-5; problems page 102104 Even only Due 1/31)

Jan 31 st: Radiation dose vs. shielding page 105-109; Effective half-life calculations page

110-112; REVIEW (Assignment problem page 108-109 All; problems page 111-112 All Due 2/5)

Feb 5th: UNIT 2 EXAM OVER CHAPTER III

Cha~ter IV: Instrumentation Feb 7t

: Calibrator accuracy and constancy page 113-115; Percent error page 116-118; Geometry and percent error page 119-121; Geometry and percent error page 122-123; (Assignment problems page 114, 1-4 and page 115,9, 11, 13; problem page 117, 1-6; problems page 120, 1-4; problems page 123, 1-5 Due 2/12)

Feb 12th ; Dose calibrator linearity page 124-126; Correction factors page 127-128; Energy Resolution page 129-132; Chi Square page 133-137; (Assignment problems page 125, 1-5; problems page 128, 1-8; problems page 130-132, 1-6; problems page 136-137, 1-5 Due 2/14)

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• Feb 14th : Well counter efficiency page 138-139; Window calculation page 140-141; Window calculation page 142-146; Camera sensitivity page 147-148; (Assignment problems page 139 Odd number only; problem page 140-141 Odd number only; problem page 144-146 Odd number only; problem page 148 Even only Due 2/21)

Feb 21 st: Acquisition time page 149-151; Flood or phantom fill page 152-153; Total pixels page 154-155; Centrifuge: relative centrifugal force vs. time page 166167; (Assignment problems page 151 Even only; problems page 153,1-5; problems page 155, 1-6; problems page 167, Even only Due 2/26)

Feb 26th: UNIT 3 EXAM OVER CHAPTER IV

Feb 28th : Mid-Term Review

March 5th: Mid-Term EXAM over Chapter I, III, IV

March 7th : Mid-Term (Pre-Exam)

Chapter V: Radiopharmacy March 12th

: Decay half-life page 169-171; Decay charts page 172-174; Universal decay table page 175-178; Pre-calibration calculations page 179-182; (Assignment problems page 171, 1-9; problems page 173-174, 1-10; problems page 177178, Odd number only; problems page 181-182, 1-10 Due 3114)

March 14th : Specific concentration page 183-184; Dose volume calculation page 185

188; Total activity page 189-191; Total volume page 192-194; (Problem Handout due (3119»

March 19th: Activity per unit weight page 195-196; Unit dose page 197-199; Pediatric

doses page 200-201; (Assignment problems page 195-196, 1-7; problems page 198-199, Odd number only; problems page 200-201, Odd number only; 3/21)

March 21 st: Minimum and maximum doses page 210-212; Lung particle calculations page 213-215; Capsule calculations page 216-217; Generator yield page 218219; (Assignment problems page 211-212, Even number only; problems page 214-215, Even number only; problems page 217, 1-9; problems page 219, 1-9 Due 3/26)

March 26th: Mo99ITc99m yield page 220-223; Allowable M099 page 224-227;

Chromatography calculation page 230-233; (Assignment problems page 222223, Odd number only; problems page 226, 1-10; problems page 231-233, 1-10 Due 3/28)

March 28th : UNIT 4 EXAM OVER RADIOPHARMAY

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Course #NM-124 Nuclear Medicine Math and Stats 3 Credits

• Southeast Technical Institute Syllabus Spring 2007

Chapter VI: Clinical Procedures April2Rd

: Left ventricle EF page 235-237; Gallbladder EF page 238-240; Gastro esophageal reflux page 241-242; Gastric emptying page 243-247; (Assignment problems page 236-237, Odd number only; problems page 239-240, Odd number only; problems page 241-242, 1-6; problems page 245-247, 1-5 Due 4/4)

April 4th : Lung quantization page 253-255; Thyroid uptake page 256-259; Schilling calculation page 260-263; Concentrations page 264-265; (Assignment problems page 254-255, 1-5; problems page 257-259, Odd number only; problems page 262-263, Odd number only; problems page 265, Odd number only Due 4/9)

April 9th : Plasma volume page 269-272; Red cell mass page 273-276; Whole blood volume page 277-278; (Assignment problems page 270-272, Odd number only; problems page 275-276, Odd number only; problems page 278, 1-3 Due 4/11)

April 11th: UNIT 5 EXAM OVER CLINICAL PROCEDURES

Chapter II: Statistics April 16th

: Standard deviation page 67-71; Coefficient ofvariation page 76-78; Error inherent page 79-80 (Assignment problems page 70, 1-5; problems page 77, 17; problems page 80 Even only Due 4/18)

April 18th : Statistical significance page 81-82; Standard deviation page 83-85; Levy Jennings plot page 88-91; (Assignment problems page 82, Even number only; problems page 84-85, Odd number only; problems page 90-91, 1-5 Due 4/23)

April23rd: UNIT 6 EXAM OVER STATISTIC

April 25th: Final Pre-Exam

April 30th : Review for final

May 2nd Final Exam over Chapter II, V, VI

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Instructor: Mary Hennings-Frank Class Time: WfF 9:00am - l2:00pm Office: HC 213 Course Location: HC 255 Telephone: (605) 367-4632 FAX: (605) 367-5724 E-mail: [email protected] Hours: Monday 9-1 Oam

Tuesday 3-4pm Wednesday 1-2pm Thursday 12pm-1pm Friday 2-3pm

I. Catalog Description Students will enhance their knowledge in the safe use of radionuclides and their handling. This will also encompass the legal requirements set for by the NRC and other governing agencies to benefit the patient, the technologist, and the public in the clinical environment.

II. Course Prerequisites HC 111, NM 101, NM 120, NM 123, NM124


Southeast Technical Institute values a student-centered learning environment, which

• nurtures intellectual and social development. Southeast instructors have designed their general education courses to utilize a variety of instructional methods.




a. Required textbook(s) and other materials Radiation Protection in Medical Radiography; Statkiewicz-Sherer, Visconti, Ritenour; Mosby; 5th Edition


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• c. Class attendance policy

It is the students' responsibility to call or e-mail the instructor if they are sick or tardy. If the student fails to call or e-mail the instructor of their absent, a written document will be typed up and put in the student file. If the student is tardy three times during the semester course, both the student and the instructor will meet and corrective action will be taken.




• d. Cheating and plagiarism policy



e. Make-up policy


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Quizzes: Quizzes may be given at anytime without warning over any material, which has been presented via; lecture, video, assigned reading, or guest speaker. The purpose of quizzes is to assess the students understanding or retention ofinfonnation presented, at a given place and time. There is a specified time limit for each quiz, and the papers will be collected after that time period. Any student entering late into class will only have the remaining time allowed to complete. If you are absent on the day of a quiz, the quiz will be zero. No quizzes are to be made up.

Test: If you are absent the day of a test, you must notify your instructor and make arrangements to make up the test before the next lecture (at the soonest make-up time available). The following criteria will be made concerning make-up testing:

• 1st test made up = no grading penalty • 2nd test made up =-7% to the test grade • 3rd test (and any subsequent test) = -14% to the test grade • ANT TEST NOT MADE UP WITHIN ONE WEEK WILL BE

SCORED AS A ZERO

Make up test schedule will be posted at the beginning of the semester. To make up the test, you must know the name of your instructor, the course number of the class you are making up a test for, and have a photo ill>

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1. Class days are Wednesday and Friday from 0900 - 1200

2. Any requests for absences or schedule changes are to be made prior to the beginning ofthe course whenever possible. Granting requests will be at the discretion of the course instructor.



5. lfthe student becomes ill during the day, they are to notify the instructor prior to leaving directly or by voicemail.



8. Assignments in the syllabus are to be completed before class unless stated otherwise.





13. Cell phones are to be turned offor placed on a silent mode during class.

14. Lap top computers are allowed for note taking in the class. They should not be used for e-mailing, instant messaging, or surfing the website during class.

15. Violations of safety to self an others, or violation to safe operating practices of equipment may result in reduction or loss of your daily grade, removal from class, and/or other disciplinary action.

• 16. Students are required to follow nuclear medicine dress code (as listed below).

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Dress Code:

• No open toe shoes (example: Scandals)

• NOJEANS • No caps of any kind • No ripped clothing • NO SHORTS OR TANK TOPS • Scrubs (no sweatshirts over scrub top. May wear long or short sleeve


colognes • Smoke odor should not be detectable


V. Course Goals

Ob.iectives 1. Identify the syndromes associated

with radiation exposure 6. Define various radiation limits and procedure to measure

2. Calculate units of measurements used in Nuclear Medicine

7. Identify, measure and account for radiation under safe exposure conditions

3. Explain the effects and responses of ionizing radiation on cells and tissues

8. Describe Code of Federal Regulations title 10 part 19,20,30, and 35

4. Recognize factors affecting cell responses to radiation

9. Perfonn radiation surveys using various meters

5. Identify the regulatory agencies and licensing regulations

10. Recognize regulations by DOT, etc.

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• VI. Student Learning Outcomes


I. Science & Technology: Technical competence including knowledge of technology and/or scientific principles as these apply to programs.

2. Problem Solving & Critical Thinking: The ability to select and use various approaches to solve a wide variety ofproblems - scientific, mathematical, social and personal. Graduates will also be able to evaluate information from a variety ofperspectives, analyze data and make appropriate judgments.

3. Communication: The ability to communicate effectively in several formsoral, written, nonverbal and interpersonal. Graduates will also demonstrate knowledge of how to manage and access information.


As a result of taking this course, the following student outcomes will be sought by helping the student develop:


a. Assessments


Grading procedure:

5 Unit exams: 65% Quizzes/Assignments 20% Final Exam: 15%

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• b. Grading policy


A 94% -100% B 87%- 93% C 80% - 86% D 74%-79% F <=73%

A grade ofC (80%) or greater is required to successfully pass this course.


VIII. ADA Statement


Violation of safety to self and others and/or violations of safe operating practices of equipment may result in: the reduction or loss of your daily grade; removal from class and/or other disciplinary action.

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June 6: Welcome/Syllabus/Expectations/Rules/Questions Chapter 4 "Overview of Cell Biology" (Page 63-82) Statkiewicz Sherer (Mosby 5th Edition)

June 8: Chapter 3 "Radiation Quantities and Units" (Page 45-62) Statkiewicz Sherer (Mosby 5th Edition)

June 13: Unit Exam #1 (Chapter 3 & 4) Chapter 5 "Molecular and Cellular Radiation" (Page 83-109) Statkiewicz Sherer (Mosby 5th Edition)

June 15: Chapter 6 "Radiation Effects on Organs Systems" (Page 110-140) Statkiewicz Sherer (Mosby 5th Edition)

June 20: Unit Exam #2 (Chapter 5 & 6) Chernobyl Movie

June 22: Chapter 1 "Introduction to Radiation Protection" (Page 1-24) Statkiewicz Sherer (Mosby 5th Edition)

June 27: Chapter 2 "Interaction ofX-radiation with Matter" (Page 25-44) Statkiewicz Sherer (Mosby 5th Edition)

June 29: Unit Exam #3 (Chapter 1 & 2) Chapter 7 "Dose Limits for Exposure to Ionizing Radiation" (Page 141-162) Statkiewicz Sherer (Mosby 5th Edition)

x. Tentative Course Outline/Schedule

July 6: NRC CFR Licensing (Handout)

July 11: Unit Exam #4 (Chapter 7 and NRC licensing) Handout reading

July 13: Chapter 10 "Radiation Monitoring" (Page 249-268) Statkiewicz Sherer (Mosby 5th Edition)

July 18: Chapter 11 "Radioisotopes and Radiation" (Page 269-286) Statkiewicz Sherer (Mosby 5th Edition)

July 20: Unit Exam #5 (Handout reading, Chapter 10 & 11) Patient Care and Quality Improvement (Chapter 8 Mosby) Review for Final

July 25: Comprehensive Final

July 27: Clinical picks selection

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• Class Content

June 6th Class orientation/SyllabuslLecture Chapter 4 "Overview of Cell Biology" Upon completion of this session, the student will:

1. Describe the expectations of the course 2. Discuss the objectives of the course 3. Explain the focus of the course 4. Discuss the grading policy for this course 5. State the purpose for acquiring a basic knowledge of cell structure, composition,

and function as a foundation for radiation biology. 6. List the essential functions ofwater in the human body. 7. Describe the molecular structure of deoxyribonucleic acid and explain the way it

functions in the cell. 8. List the various cellular components and identify their physical characteristics and

functions. 9. Distinguish between the two types of cell division, mitosis and meiosis, and

describe each process. Assignments:

• Read Chapter 4 page 63-82 (Mosby) • Crossword puzzle and Cell labeling

June 8th Lecture Chapter 3 "Radiation Quantities and Units" Upon completion of this session, the student will:

1. Explain the concept of skin erythema dose, tolerance dose, and threshold dose. 2. Differentiate between somatic and genetic effects 3. Differentiate between the following radiation quantities: exposure, absorbed

dose, equivalent dose, and effective dosed, and identify the appropriate symbol for each quantity.

4. List and explain the International System (SI) and traditional units for radiation exposure, absorbed dose, equivalent dose, and effective dose.

5. Given the numeric value for an absorbed dose ofradiation stated in gray (rad), the radiation weighting factor for the type and energy of radiation in question, and the tissue weighting factor, determine the effective dose.

Assignment: • Read Chapter 3 page 45 - 62 (Mosby) • Math problems • General Discussion Questions Page 61 (1-10)

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• June 13th Test #1 Lecture Chapter 5 "Molecular and Cellular Radiation" Upon completion of this session, the student will:

1. List the three radiation energy transfer determinates and explain their individual concepts.

2. Differentiate between the three levels ofbiologic damage that may occur in living systems as a result ofexposure to ionizing radiation and describe how the process of direct and indirect action of ionizing radiation on the molecular structure of living systems occurs.

3. Describe target theory. 4. Explain the purpose for and function of survival curves. 5. List the factors that affect cell radiosensitivity.

Assignments: • Read Chapter 5 page 83 -109 (Mosby) • Crossword Puzzle

June 15th Lecture Chapter 6 "Radiation Effects on Organ Systems" Upon completion of this session, the student will:

1. Explain the purpose of a radiation dose-response curve. 2. Differentiate between threshold and nonthreshold relationships. 3. List and describe the various early nonstochastic somatic effects, late

nonstochastic somatic effects, and late stochastic somatic effects of ionizing radiation on living systems.

4. Describe acute radiation syndrome and identify the stages. 5. LD 50/30 and the meaning. 6. Describe the concept of risk for radiation-induced malignancies. 7. Explain how spontaneous mutations occur. 8. Differentiate between dominant and recessive gene mutations.

Assignments: • Read Chapter 6 page 110 - 140 (Mosby) • General Discussion Questions page 138 (1-5)

June 20th Test #2 Chernobyl Movie Upon completion ofthis session, the student will:

1. Identify radiation effects from the atomic bomb survivors ofHiroshima and Nagasaki.

Assignments: • A handout will be giving during the movie.

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June 220d Lecture Chapter 1 "Introduction to Radiation Protection" Upon completion of this session, the student will:

1. Discuss the concept of effective radiation protection. 2. Explain the justification and responsibility for nuclear medicine procedures. 3. Explain how imaging professionals can help ensure that both occupational and

nonoccupational dose limits remain well below maximum allowable levels. 4. State the ALARA principle and discuss its significance in diagnostic imaging. 5. List and describe three sources of natural background ionizing radiation and six

sources ofmanmade, or artificial, ionizing radiation. 6. Describe the potential for ionizing radiation to cause biologic damage. 7. List the different forms of electromagnetic and particulate radiation and identify

those forms that are classified as ionizing radiation. 8. Explain the concept of equivalent dose and effective dose. 9. Discuss the significance of the sievert as a unit ofmeasure for equivalent dose.

Assignments: • Read Chapter 1 page 1 - 24 (Mosby) • Matching worksheet

• June 27th Lecture Chapter 2 "Interaction of X-radiation with Matter" Upon completion of this session, the student will:

1. Describe the process of absorption and explain the reason why absorbed dose is atoms of biologic matter should be kept as small as possible.

2. List the events that occur when x-radiation passes through matter. 3. Discuss the probability of photon interaction with matter. 4. List and explain the five processes of interaction with matter: Compton scattering,

photoelectric absorption, pair production, coherent scattering, and photodisintegration.

Assignments: • Read Chapter 2 page 25 - 44 (Mosby) • Crossword puzzle • General Discussion Questions page 42 - 43 (1, 5, 7, 9)

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June 29th Test #3 Lecture Chapter 7 "Dose Limits for Exposure to Ionizing Radiation" Upon completion of this session, the student will:

1. List and describe the function of the four major organizations that share the responsibility for evaluation the relationship between radiation equivalent doses and induced biologic effects and five U.S. regulatory agencies responsible for enforcing established radiation effective dose limiting standards.

2. Describe effective dose limit and the effective dose limiting system. 3. Describe current radiation protection philosophy and state the goal and objective

of radiation protection. 4. Explain the concept of risk as it relates to the medical imaging industry. 5. Identify the risk from exposure to ionizing radiation at low absorbed doses. 6. State the following in terms of Intemational System (SI) units and traditional

units: a. Annual occupational dose limits b. Annual effective dose limits c. Annual equivalent dose limits d. Annual effective dose limit for a minor e. Annual occupational dose limits for pregnant worker

Assignments: • Read Chapter 7 page 141 - 162 (Mosby)

• • Fill in the blank worksheet

July 6th Lecture on NRC CFR Licensing Upon completion of this session, the student will:

1. Post appropriate signs in designated areas. 2. Package radioactive materials according to regulations. 3. Maintain accurate, written radiation safety/protection records. 4. Use radiation monitoring devices. 5. Review monthly personnel exposure records with regard to maximum permissible

radiation dose limits. 6. Reducing radiation exposure. 7. Notifying the appropriate authority of excessive radiation exposure. 8. Notifying the appropriate authority of a medical event. 9. Proper methods of storage of radiopharmaceuticals lO. Instructions in radiation safety precautions to patient, family or staff. 11. Maintain appropriate quality control records.

Assignments: • Read handout

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• July 11 th Test #4 Lecture "Radiation Protection in Nuclear Medicine" Upon completion of this session, the student will:

1. State the annual occupational effective dose limit for whole body exposure of diagnostic imaging personnel routine operations and explain the significance of the ALARA concept for these individuals.

2. Identify the type of x-radiation that poses the greatest occupational hazard in diagnostic nuclear medicine and explain the various ways this hazard can be reduced or eliminated.

3. Explain the way various methods and techniques that reduce patient exposure during a diagnostic examination also reduce exposure for the nuclear medicine technologist.

4. List and explain the three basic principles of radiation protection that can be used for personnel exposure reduction.

5. State and explain the inverse square law. 6. Describe the construction of protective structural shielding, and list the factors

that govern the selection of appropriate construction materials.

Assignments:

• Read Hand out

• • Radiation Protection Math Problems

July 13th Lecture Chapter 10 "Radiation Monitoring" Upon completion of this session, the student will:

1. State the reason why a radiation worker should wear a personnel dosimeter and explain the function and characteristic of such devices.

2. Describe the various components of the film badge, pocket ionization chamber, and TLD and explain the use of each of these devices as personnel monitors.

3. Explain the function of radiation survey instruments. 4. List three gas-filler radiation survey instruments. 5. Explain the purpose of the following instruments: ionization chamber (cutie pie),

proportional counter, Geiger-Muller (GM) detector.

Assignments: • Read Chapter 10 page 249 - 268 (Mosby) • General Discussion Questions page 267 (1 - 10)

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• July 18th Lecture Chapter 11 "Radioisotopes and Radiation" Upon completion of this session, the student will:

1. Describe how therapeutic isotopes may be characterized. 2. Describe the process of electron capture. 3. Identify the tow best radiation safety practices to follow for patients having

therapeutic prostate seed implants. 4. Explain the process ofbeta decay. 5. Discuss the radiation hazards that may be encountered by personnel caring for a

patient who is receiving iodine-131 therapy treatment for thyroid cancer. 6. Explain how radioisotopes are used as radioactive tracers in nuclear medicine

work. 7. Identify and describe the type of radiation events that are used in positron

emission tomography. 8. Describe the procedure for external decontamination from radioactive materials.

Assignments: • Read Chapter 11 page 269 - 286 (Mosby) • Crossword puzzle

July 20th Test Unit #5 Lecture Patient Care and Quality Improvement

• Upon completion of this session, the student will:

1. Identify steps that must be taken prior to patient arrival for a nuclear medicine procedure.

2. Describe appropriate techniques for interacting with various age groups. 3. Describe and demonstrate proper viniculture techniques. 4. Describe and demonstrate the proper monitoring and care of intravenous lines. 5. Describe and demonstrate the standard precaution guidelines. 6. Demonstrate proper aseptic and sterile techniques. 7. Describe quality-improvement programs and their relationship to nuclear

medicine services.

Assignments: • Read Nuclear Medicine and PET (Christian) Chapter 8 page 221 - 235

July 25th Comprehensive Final

July 27th Clinical picks selection

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• Nuclear Regulatory Commission Regulation of Nuclear Medicine

Radiation Safety

2007

• Diagnostic Nuclear Medicine Facility

• Reception area Thyroid uptake room

• File room • Physician office

Waiting room Chief technologist office

• Hot lab • Hallways

Imaging room • bathroom

Diagnostic Nuclear Medicine

More than 50 years ago

12 - 14 million procedures

Determine the cause of a medical problem

Devices and Materials NRC Regulates

Dose calibrator Sealed calibration

Fume hood sources

Survey meters • Shielding material Well counters • Protective clothing

• Whole-body/ring

storage containers Radioactive waste

dosimeter

• Individual room exhaust systems

NRC divided into 4 regions NRC licenses for Medical Use

10 CFR Part 30

• Three types - General in vitro license

- Specific license of limited scope

- Specific license of broad scope

Elements of Radiation Protection Program (NRC)

• Post Appropriate Signs Personnel Exposure in Designated Areas Limits

Package radioactive Medical Event materials according to Quality Control Records regulations

• Maintain Accurate, Written Radiation Safety/Protection Records

Area Designations

• Unrestricted Area

- Less tha n 2.0 mrem/hr

• Restricted Area

- Greater than 2.0 mrem/hr

• Controlled Area - Radioactive materials is controlled

Posting Requirements

Caution: Radiation Area

• Greater than 5.0 but less than 100 mrem in 1 hour at 30 cm.

Post Appropriate Signs in Designated Areas

• Areas Designations

• Posting Requirements

• Radiation Surveys

• Radiation Wipe Tests

• Records Required


Caution: Radioactive Materials

• Radioactive materials are used or stored


Caution: High Rad iation Area

• Greater than or equal to 100 mrem in 1 hour at 30 cm but less than 500 rad in 1 hour at one meter

CAUTION

6.•RADIOACTIVE MATERIALS

•

•

CAUTION HIGH RADIATION

AREA

2

•

•

•

Radiation Surveys

• Instruments

GM meters - 0.1 mrem/hr to 100

mrem/hr

- 100 mrem/hr to 1000 mrem/hr

Calibration

• Proper operation

Radiation Surveys

• Instruments

• Frequency - Daily = prepared, administered

- Weekly = waste stored

Records required

• Date of survey

• Plan of area

• Expressed

- Mrem/hr

- Dpm/100 cm 2

• Instrument used

• Initials

Radiation Surveys

Instruments - Cutie Pie

- 0.1 mrem per hour

Calibration

• Proper Operation

Radiation Wipe Tests

Instruments Required - 2000DPM

• Frequency - Weekly

Package radioactive materials

according to regulations

• DOT

• Preparing a Package for Shipment

• Transport Groups

• Required on Labels

• Surface contamination

• Types of Packaging

3

• DOT

Must adhered whenever radioactive materials are shipped

Preparing a Package for Shipment

Survey package and record

• Verify surface contamination

• Radioactive label

• Transport Index

• Prepare shipping papers

Transport Groups

White I

Surface less than equal to 0.5 mrem/hr

• TI = 0.05 mrem/hr {OJ

7

Transport Groups

• Yellow II

• Surface = 0.5 - 50 mrem/hr

TI =less than or equal to 1.0 mrem/hr •

Information Required on LabelsTransport Groups

• Contents • Yellow '" • Surface =

• Activity>50.0 - 200 mrem/hr

TI=

>1.0 -10 mrem/hr • TI

4

•

•

•

Check for Surface Contamination

• 300 cm2

• Any radioactive package

• 22 dpm/cm2 or 6,600 dpm area 300 cm 2

• Conversion Netcpm

- Dpm = --------------

Efficiency

Maintain Accurate, Written Radiation Safety/Protection Records

• Personnel Exposure Documents

• Bioassay Documents

• Wipe Tests

• Survey Instrument - Calibration

- Reference Check

• Radiation Receipt Log


• Sealed Source - Leak Tests

- Sealed Source Inventory

• Dose Calibrator - Accuracy

- Constancy

- Linearity

-Geometry

Types of Packaging

• Type A - Most Radiopharmaceuticals

- Prescribed exposure during transportation

- <20 Ci Mo99, <100 Ci Tc99m

• Type B - Radioactivity exceed limit

- NRC approval


• Radiopharmaceutical dispensing records

• Radiation Disposal Records

- Decay in Storage

- Transfer

- Release into sewer system


• Negative Pressure Check

• Safety Instructions

• Radiation Protection Programs

• Generator Eluate Checks

- Mo99 breakthrough

-Aluminum

5

Personnel Exposure Records

• Maximum Permissible Dose (MPD)

- Occupational

- TEDE = 5 rem/year

- TODE = 50 rem/year

- Lens of eye = 15 rem/year

- Extremities =50 rem/year

- Cumulative exposure

Occupational Dose Limits 10 CFR 20.1201

• 5 rem (0.05 Sv)---total effective dose equivalent (TEDE)

• 15 rem (0.15 Sv)---Iens dose equivalent (LDE)

• SO rem (0.5 Sv)---shallow-dose equivalent (SDE) to skin or any extremity

All Diagnostic Rx « 30 uCi 1125 or 1131)

• Recordable Event

-None

• Medical Event

- Wrong pt. rx., route, or dose AND

-> 5rem EDE

- 50 rem organ dose

- 50 rem skin

•Personnel Exposure Records

• Members of the public

-2 mrem/hr

-100 mrem/year (TEDE)

- No organ limit

• Embryo/Fetus of Declared Pregnant Worker

- 500 mrem

Medical Event

• Error and Excess exposure

• ChiefTechnologist

• RSO

• NRC notified next calendar day •

Sodium Iodide Rx (> 30 uCi 1125 or 1131)

• Recordable Event - >20% prescribed AND> 15uCi

- No written directive

- No record

• Medical Event - Wrong pt.

- Wrong Rx

- >20% AND 30 uei

• 6

•

•

•

Other Therapeutic Rx (p32, Sr89, y90)

• Recordable Event

->10%

- No written directive

- Not record

• Medical Event

- Wrong pt., rx., route

• > 20%

Maintain Appropriate Quality Control Records

• Dose Calibrator

- Accuracy (plus or minus 10%) NRS

- Constancy (plus or minus 10%) NRS

- Geometry (plus or minus 10%) NRS

- Linearity (plus or minus 10%) NRS


Sealed Sources

- Inventory - every 3 months

- leak Test = every 6 months


• Scintillation Camera

- Linearity

- Resolution - weekly

- Sensitivity

- Uniformity - daily, each day of use


• Survey Meter

- Calibration - annual

- Battery check/Reference Check - each day of use


Aerosol and Gas Control Tests

- Negative pressure =

every 6 months

- Collection/decay devices = every month

7

1:2.-/7-07 This is to acknowledge the receipl 01 your lelter/application dated DATE

/1- /,,? - 0 2 ,and to inform you that the initial processing, which includes an administrative review, has been performed,

There were no administrative omissions, Your application will be assigned to a technical reviewer, Please note that the technical review may identify additional omissions or require additional information,

D Please provide to this office within 30 days of your receipt of this card:

The action you requested is normally processed within <10 days,

o A copy of your action has been forwarded to our License Fee & Accounts Receivable Branch, who will contact you separately if there is a fee issue involved,

Your action has been assiqned Mall Control Number t! zls-erG When calling to inquire about this action, please refer to this mail control number. You may call me at 817-860-8103,

Sincerely,

NAC FOAM 532 (AIV) Licensing ASSistant (10,2006)

--

ACCEPTANCE REVIEW MEMO (ARM) Licensee: OMS Imaging License No.: 40-32477-01

Docket No.: 030-36404 Mail Control No.: 471590

Type of Action: Amend Date of Requested Action: 11-12-07

Reviewer ARM reviewer(s): Torres Assigned:

Response Deficiencies Noted During Acceptance Review

[ ] Open ended possession limits. Submit inventory. Limit possession. [ ] Submit copies of latest leak test results. [ ] Add IC L.C., split cover letter from license, add SUNSI markings to license. [ ] Confirm with licensee if they have NARM material.

Reviewer's Initials: Date:

DYes DNo Request for unrestricted release Group 2 or >. Consult with Bravo Branch.

DYes DNo Termination request < 90 days from date of expiration

~DNO Expedite (medical emergency, no RSO, location of use/storage not on license, RAM in possession not on license, other) ..21rrf fCs;.V

DYes DNo TAR needed to complete action.

Branch Chief's and/or HP's Initials: vjZ17JC - Date: /2-13--01

~ SUNSI Screening according to RIS 2005-31

DYes ¢o Sensitive and Non-Publicly Available if any item below is checked General guidance:

__RAM =or > than Category 3 (Table 1, RIS 2005-31), use Unity Rule __Exact location of RAM (whether = or > than Category 3 or not) __Design of structure and/or equipment (site specific) __Information on nearby facilities __Detailed design drawings and/or performance information __Emergency planning and/or fire protection systems

Specific guidance for medical, industrial and academic (above Category 3): __RAM quantities and inventory

Manufacturer's name and model number of sealed sources & devices __Site drawings with exact location of RAM, description of facility __RAM security program information (locks, alarms, etc.) __Emergency Plan specifics (routes to/from RAM, response to security events) __Vulnerability/security assessmenUaccident-safety analysis/risk assess __Mailing lists related to security re nse

IL- Date.. 12-r3~[) 1Branch Chief's and/or HP's Initials:

Checklist to Ensure That Radioactive Material Will Be Used as Intended

ADDlicant Information' Control No 471590

Name: DMS Imaging

Location: SD

Type of Request: Amend Program Code(s):

License No.: 40-32477-01 Docket No.: 030-36404

STEP 1, ITEM A - INITIAL SCREENING Instructions for Step 1: Complete Step 1 for all applications. If Step 1, Items A and B, are "YES' then do not complete Step 2. Sign and date theepmpleted form and add it to ADAMS as Non-Sensitive and Non-Publicly Available. If a "NO' response is indicated for Item A or Item 8., iroci the completed ronm to ADAMS:a.s Sensitive and Non-Publicly Available, and complete Step 2 (Additional Screening). If the type.o.f use is subject to f1Security Order, cOmplete Step 3,ItemA without delay. If the additional requirements fo~ !ncreased controls will be applied or voided, complete Step 3. Item B, without delay.

A. The applicant is a known entity or a licensee transferring control to a known entity. This determination has been made using the screening criteria in Worksheet A below.

Worksheet A

YES or NO

'fes , ..

Instructions for Work~l1eetA: Answer each of the 6 questions'below by placing a "Yes', "No', or "NA" response in the coluTTlfl.gn the YES, right. .Best practices for a reviewer are provided after each of the questions. If the answer to any qfthe 6 questions is "Yes' then"ihdicate NO,or I

"Yes"in Step 1, Item A, above. If the answetsto all of the 6 q~estions is "No" then indicate "NO: Ii1 Step 1, Item A, above. NOTE - If the NA reviewer has personal knowledge of the applicant's veracity,this' can be taken into account in responding to any questions,. For example, if.the .applicant's management and/or RS9 have been associated with a current or ,previo~s f9RC or Agreement State Iicense,"t!Jen the

:.applicant may be considered as a IWown entity. . •- . ... ~.; .. 71.'.

1, Does the applicant have a current Agreement State or NRC license? The reviewer should 1) confirm that a valid license/registration/authorization exists for the applicant; and 2) compare '1~s the current license to the application to verify that the application represents a reasonable expansion of the licensee's operation (i.e., medical facility adding a gamma knife or an Agreement State licensee obtaining an NRC license in order to work in NRC jurisdiction without filing reciprocity).

2. Does the applicant have a current Agreement State or NRC license at another location 'f\. and the new application represents the addition of a new facility within the scope of the licensee's core business? The reviewer should contact the appropriate licensing authority to confirm that a valid Iicenselregistration/authorization exists for the applicant and the corporate office of the licensee to verify that it has knowledge of and approves of the new application.

3. Does the applicant have a current State or Federal government license, registration, authorization, etc., for other operations within the scope of its proposed license 1\ activities? (e.g., a company authorized by a State for mining that is now requesting authorization to use fixed gauges). The reviewer should contact the appropriate government office to confirm that the license, registration, authorization, etc., is valid; and the applicant's corporate office to confirm that it has knowledge of and approves of the new application to possess radioactive materials,

4. Is the applicant a local, State or Federal government agency? The reviewer should contact the local, State or Federal government office to confirm that the applicant is a government NA-entity. I

5. Does the application only involve the relocation of an existing licensee, or its mailing address, to another State? This includes new licenses created from existing licenses listing NA-locations in multiple States, in preparation for transfer of licenses to States that will shortly sign an Agreement with the NRC.

.ft6. Is the application only the result of a licensee failing to submit a renewal application in a timely manner?

STEP 1, ITEM B - INITIAL SCREENING CONTINUED

A- ... The applicant is requesting certain radionuclides and quantities that are less than the Risk Significant Quantity (TBq) values in Worksheet B, below, as ·highlighted~ by the reviewer, or is currently sUbject to a security order or additional requirements for increased controls. If "Yes", there is no need to proceed further.

B.

Worksheet B - Risk Significant Quantities ( - teQorv 2 Quantities, IAEA Safety Guide No. RS-G-1.9, CateQorization of Radioactive Sources, August 2005)

~ Risk Risk

SigJ,)ificant ~.

" Significant Quantity Quantity (Ci'}

~Bql}

0.6............... r- 16

0.6 ~ 0.2 5.4 ./

0.5 / 0.3 ./

y 8.1

/ 27

V 10 270

0.8 22

.. ...

Radionuclide

Pm-147

~

Risk Significant Quan~ (fBQ.'.

~OO

~S{'cant uantity (Ci'}

Am-241 11,000

Am-241/Be 0.6

0.6

~ 0.4

~ 10 ~

200

3

16

Cf-252 ~/Be 16

Cm-244 Ra-226~

Se-75

Sr-90 (V-90}

11

Co-60 54

Cs-137 270

Gd-153 Tm-170

Yb-169

~O Ir-19¥ 81~

/ The primary values are TBq. The curie (Ci} values are for informational purposes only. . .The Atomic Energy Act, as amended by the Energy Policy Act of 2005, authorizes NRC to regulate Ra-226 and NRC is in the process of amending its regulations for discrete sources of Ra-226.

. "' Calculations qf tne Total Activity or the Unity Rule were completed. NOTE-If an amendment ·of an existing licens.e is being requested, the calculations will include the previously authorized quantities for:.the radionucli~(s).

Yes, No, or Not Applicable

(NA}

Total Activity-multiple activities are requested for a single radionuclide and the sum of the activities is less than the Risk Significant Quantity (TBq} for the radionuclide "-Unity Rule-multiple radionuclides are requested and the sum of the ratios is less than 1.0, e.g.,[(total activity for radionuclide A} + (risk significant quantity for radionuclide A}] + [(total activity for radionuclide B} + (risk significant quantity for radionuclide B}] < 1.0.

v {Z--I ~--orr-c--Signature and Date for Step 1: License Reviewer and Date

(FOR LFMS USE)INFORMATION FROM LTS

BETWEEN:

License Fee Management Branch, ARM Program Code: 02220 and Status Code: 0

Regional Licensing Sections Fee Category: 3P 7C Exp. Date: 20111231 Fee Comments:Decom Fin Assu~r'R~e~q7d~:~Nr------------

................... ..~ ............................................................................ .

LICENSE FEE TRANSMITTAL

A. REGION

1. APPLICATION ATTACHED Applicant/Licensee: DMS IMAGING, INC. Received bate: 20071112 Docket No: 3036404 Control No. 471590 License No. 40-32477-01 Action Type Amendment

2. FEE ATTACHED¥=Amount: Check No.:

3. COMMENTS

~:l:ed4f~ B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I--!) 1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for: Amendment Renewal License

3. OTHER

SignedDate

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Fedfu~ WED 28 NOV Al ~ 7918 0426 0230 •• 2DAY ••

TX-US~R-FWHA DFW 76011

I II I~ _~ ",c(ion_do?method~doShipContinue 11/23/2007

FedEx IShip Manager ILabel 791804260230 Page 1 of 1

From Origin ID: FSDA (605)330-9060 Bernice Norton DMS IMAGING 109 SOUTH PETRO AVENUE

Ship Dale: 23NOV07 ActWgt 2 LB System#: 5867540IlNET7091 Account#: S "" .. t ........

SIOUX FALLS. SO 57107

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Ref# Invoice # PO# Depl#

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1111111111 11I1III II 11111111111111111111111111111111 11111111111111111111111111111111 "1111111/1

U.S. NRC Region IV 611 Ryan Plaza Drive, Suite 400

BILL SENDERSHIPTO: (617)860-8100

Arlington, TX 760118064

TRK# 10201] 7918 0426 0230

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